Senior Podiatrist

Location of Post

Chronic Disease Management Hub
A panel for Cavan and Monaghan will be formed as a result of this campaign for
Senior Podiatrists from which current and future permanent and specified
purpose vacancies of full or part-time duration for Chronic Disease Hub Community Health Network and the acute setting may be filled

Informal Enquiries

Clinical queries:

Caroline McCusker

Email:

Phone:

Operational queries:

Fiona Gilliland

Email:

Phone:

Purpose of the Post

Chronic Disease Hub: (Community based)
The person appointed to this post 0.3WTE Senior Podiatrist (diabetes) will work with the Chronic Disease Management Team including Endocrinologist DNS Dietician GPs PHNs

and Practice Nurses as part of the Foot Protection Team (FPT) based in the community. They will provide integrated care for In Remission High and Moderate Risk Diabetics within

designated community Networks with a main focus on prevention of Diabetes related foot complications. They may also share care for Active Diabetic Foot disease with the Acute MDfT

on occasion through shared care agreement. This role however will focus primarily on prevention with education and early intervention.

Community Health Network: (Community based)
The person appointed to this post of Senior Podiatrist Community Health Network will work as part of the primary care team in an Integrated Care structure.

This team will include GPs PHNs/ Practice Nurses community Dieticians Physiotherapists Occupational Therapists Speech and Language Therapists and other disciplines as required.

These new post holders along with the existing podiatry workforce will be required to deliver services that aspire to the eight fundamental principles of the Sláintecare report.

A person centred quality evidence-based service to all other patients referred who do not have Diabetes. This service will include Active foot Disease In Remission High and Moderate Risk groups within a designated Network area.

Early Intervention Health Education with integrated working and prevention are key.

Acute: (Hospital Based)

As an Acute Senior Podiatrist in Diabetes the post holder will have the vision and drive to bring professionals in the hospital group referral area together from different areas of healthcare

to provide optimal diagnoses and treatment and to improve outcomes for those with diabetic foot complications.
The Senior Podiatrist (Diabetes) in the Acute setting will provide integrated care for patients with active foot disease in both inpatient and outpatient settings.

The person will deliver a quality person-centred evidence-based podiatry service to those users who present with active foot disease. They will lead the MDFT in the Acute setting and integrate with the Community Foot Protection Team.

As a senior podiatrist across all settings it will be necessary to connect and work closely with the multidisciplinary foot team podiatrist foot protection team

community Health Network podiatrists and the extended primary care team to promote integrated working within the podiatry profession; to enable integrated working between all the podiatry teams

and to help coordinate the management of the podiatric service in the local region. This will also facilitate and assist with CPD and learning.

Details of Service

The person appointed to this post of CDM senior podiatrist will work as part of a foot protection team details of which will be made available at job offer stage.

In line with Sláintecare (2017) and the Department of Healths Capacity review (2018) a shift in healthcare service provision is now required to place the focus on integrated

person-centred care based as close to home as order to enable this the Integrated Care Programme for the Prevention and Management of Chronic Disease (ICPCD) is supporting the national

implementation of a model of integrated care for the prevention and management of chronic disease as part of the Enhanced Community Care Programme (ECC). The Model of Care for the Integrated Prevention

and Management of Chronic Disease has a particular focus on preventive healthcare

early intervention and the provision of supports to live well with chronic disease.

The investment in the ECC programme will be delivered on a phased basis with a view to national coverage being achieved within a two- to three- year period.

Three priority areas have been identified as follows:
1. Structural reform of healthcare delivery within the community with Community Health Networks (CHNs) becoming the basic building blocks for the organisation management and delivery of community services across the country;
2. Creating Specialist Ambulatory Care Hubs within the community to support primary care management of chronic disease and older people with complex needs; and
3. Scaling Integrated Care for Older People and Chronic Disease through the recruitment of specialist integrated care teams including Frailty at the Front Door Teams.

The focus is on providing an end-to-end pathway that will reduce admissions to acute hospitals by providing access to diagnostics and specialist services in the

ambulatory care hubs in a timely manner. For patients who require hospital admission the emphasis is on minimising the hospital length of stay with the provision of

post-discharge follow up and support for people in the community and in their own homes where required.

The ECC Programme is underpinned by a set of key principles including:
Eighty percent of services delivered in Primary Care are through the GP and CHNs;
Identifying and building health needs assessments at a CHN level (approximate population of 50000) based on a population stratification approach

to include identification of people with chronic disease and frequent service users thereby ensuring the right people get the right service based on the complexity of their health care needs;
Utilisation of a whole system approach to integrating care based on person centred models while promoting self-care in the community;
The Older Persons and Chronic Disease Service Models set out an end to end service architecture for the identification and management of frail older adults with complex care needs and people living with chronic disease;
Learning from and delivering services based on best practice models and the extensive work of the integrated care clinical programmes to date particularly in the areas of Older Persons and Chronic Disease;
Embed preventive approach to chronic disease into all services;
Availability of a timely response to early presentations of identified conditions and the ability to manage appropriate levels of complexity related to same in the community;
Resources applied intensively in a targeted manner to a defined population implementing best practice models of care to demonstrate the delivery of specific outcomes and sustainable services; and
The need to frontload investment coupled with reform to strengthen community services.

Diabetes in Ireland
Diabetes is a serious global public health issue which has been described as the most challenging health problem in the 21st century.

Cases of diabetes have progressively increased worldwide; between 1980 and 2008 there was a two-fold increase in the number of adults with diabetes.

Type 2 diabetes is the main driver of the epidemic accounting for approximately 90 % of all Ireland in people aged 18 years and over the prevalence of diagnosed diabetes increased from 2.2 % in 1998 to 5.2 % in 2015;

representing an absolute mean increase of 0.17 % per 2015 the incidence of diagnosed diabetes was 0.2/100 population.

Diabetes places a significant burden of care on the individual health care professionals and the wider health system.

Individuals with diabetes are two to four times more likely to develop cardiovascular disease relative to the general population and have a two to five-fold greater risk of dying from these conditions.

Diabetes is a significant cause of blindness in adults non-traumatic lower limb amputations and end-stage renal disease resulting in transplantation and the Irish Longitudinal Study on Ageing (TILDA)

among people aged 50 years and over with type 2 diabetes 26% reported microvascular complications and 15% reported macrovascular complications. This means that as well as being an important public health issue

Type 2 diabetes is a huge financial burden to the Irish health service where diabetes care consumes up to 10% of the Irish healthcare budget.

National Clinical Programme for Diabetes
The National Clinical Programme for Diabetes (NCP Diabetes) was established in 2010 under the HSEs Clinical Strategy and Programmes Division.

Working under the direction of the National Clinical Advisor and Group Lead (NCAGL) for Chronic Disease and supported by the RCPI Diabetes Clinical Advisory Group

the aim of the NCP Diabetes is to save the lives eyes and limbs of people living with diabetes in Ireland by:
Decreasing morbidity and mortality through correct and early diagnosis
Providing correct treatment based on best practice guidelines for treatment (self-management primary care and secondary care).

Guided by the model of care for chronic disease the NCP Diabetes aims to influence positive change and improve care for people living with diabetes across the entire spectrum of healthcare delivery:

self-management support; general practice; specialist support to general practice; specialist ambulatory care; and hospital inpatient specialist care.

The person appointed to this post of Senior Podiatrist (Diabetes) will work as part of the foot protection team in an Integrated Care structure with particular relevance to the Diabetes Model of Integrated Care.

The Podiatrist will offer treatment packages to adult service users who present with at-risk foot and those in remission from Diabetic Foot Ulcers (DFU). Working collaboratively with

Clinical Specialist Podiatrist (Diabetes) and podiatry colleagues in the Multidisciplinary Foot Teams there may be opportunities to be involved in the care of people with active foot disease also delivering services closer to the patients home.

The person appointed to this post of Senior Podiatrist Community health Network will work as part of the primary care team in an Integrated Care structure.

These new post holders along with the existing podiatry workforce will be required to deliver services that aspire to the eight fundamental principles of the Sláintecare report.

Eligibility Criteria Qualifications and/ or Experience

Each candidate must on the closing date for receipt of applications:

1. Statutory Registration Professional Qualifications Experience etc

(a) Eligible applicants will be those who on the closing date for the competition:

(i) Hold the . (Hons) in Podiatry at level 8 on the National Framework of Qualifications (NFQ) maintained by Quality and Qualifications Ireland (QQI) National University of Ireland.
Or
(ii) Hold the (Hons) Podiatric Medicine at level 8 on the National Framework of Qualifications (NFQ) maintained by Quality and Qualifications Ireland (QQI) National University of Ireland
Or
(iii) Hold a qualification equivalent to (i) or (ii) above which has been validated by the Department of Health.
And
(iv) Be on the list of podiatrists/chiropodists approved by the HSE to practice in the publicly funded health service on or before 30th April 2010.
And
(v) Have 3 years fulltime (or an aggregate of 3 years) post qualification clinical experience.
And
(b) Candidates must possess the requisite knowledge and ability including a high standard of suitability and professional ability) for the proper discharge of duties of the office.

Health
A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office

and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

Character
Each candidate for and any person holding the office must be of good character

Post Specific Requirements

Access to appropriate transport is necessary to fulfil the requirements of the role as the post will involve travel.

Other Requirements specific to the post

Demonstrate depth and breadth of experience of working in specialist clinics or using specialist skills in general clinics in the care of the following

client groups: High risk diabetes Rheumatoid arthritis/ chronic disease vascular diseases wound management/tissue viability biomechanics as relevant to the role.
Demonstrate depth and breadth of experience in prescription and fitting of orthotic devices

casting techniques and provision of off-loading devices as relevant to the role

Please See attached Job Spec:

6325CHCM Senior Podiatrist Job Spec

The Dublin North East is an equal oppurtunities employer